Abstract:Objective: To investigate theeffects of fast-track surgery in perioperative nursing of patients undergoing retroperitoneal laparoscopic adrenalectomy. Methods: A total of 128 cases of rectal cancer undergoing colostomy in our hospital were selected from December 2013 to May 2015. They were divided into the control group and the observation group according to the admission sequence (n=62 each). The control group was given conventional care, and the observation group given fast-track surgery care. Time for early ambulation, first eating and venous transfusion, postoperative hospital stay, hospitalization costs and complications were evaluated. Results: The mean time of postoperative ambulation, scores of VAS at 24 h after the operation, time of first eating, transfusion time, postoperative hospital stays and hospitalization costs in the observation group were (10.5±4.2) h, (16.5±4.2) score, (8.2±3.3) h, (2.5±1.0) h, (3.0±1.5) days, and (2.1±0.4) ten thousand yuan, which were significantly different from those in the control group (P<0.05). The incidence of complication in the observation group was 4.84%, which was significantly lower than in the control group (17.74%) (P<0.05). The satisfaction of patients was 98.39% in the observation group, significantly higher than in the control group (77.42%) (P<0.05). Conclusions: Fast track surgery nursing intervention adopted in patients undergoing retroperitoneal laparoscopic adrenalectomy can effectively reduce the incidence of complications, and be accepted by the patients, which is worthy of further promotion in clinical practice.
[1]江志伟,黎介寿. 快速康复外科-优化的临床路径.中华胃肠外科杂志,2012,15(1):12-13. [2]黄建生,房杰群,方烈奎,等.腹腔镜手术切除巨大肾上腺肿瘤.临床泌尿外科杂志,2014,29(1):10-11. [3]田昕玉,郑瑾.FTS理念在泌尿外科后腹腔镜手术病人围术期护理的应用性研究.护理研究,2012,26(11):3104-3107. [4]唐冰,许燕玲.快速康复外科理念在结直肠癌术后患者管道管理中的应用.中华现代护理杂志,2014,49(3)368-370. [5]Kibler VA, Hayes RM, Johnson DE, et al. Cultivating quality: early postoperative ambulation: back to basics. Am J Nurs, 2012,112(4):63-69. [6]姜立荣,顾则娟,王蓓,等.快速康复外科理念在术后早期饮水、下床活动中的应用.江苏医药,2011,37(17):2101-2012. [7]刘林,许勤,陈丽. 腹部外科手术后患者早期下床活动的研究进展.中华护理杂志,2013,48(4):368-370. [8]刘小兰,金玉琴,杨丽君,等.快速康复外科理念在肝胆外科围手术期护理中的应用.中国实用护理杂志,2010,26(30):17-19. [9]董春琴,傅文珍,傅亚飞,等.快速康复外科理念在肾上盏入路经皮肾镜取石术围手术期护理中的应用.中华现代护理杂志,2014,20(17):2102-2104. [10]丁萍,金宗兰,杨巧兰,等.早期下床活动对后腹腔镜下肾上腺肿瘤切除术患者舒适度的影响.中华现代护理杂志,2015,21(27):3258-3260.